Job Description

Job Description: Senior Claims Specialist - CGL/Auto

Location: Duluth, GA

Job Summary

Seeking a motivated and experienced Senior Claims Specialist to manage complex claims involving Commercial General Liability (CGL) and Auto coverage. The role emphasizes expertise in claims adjustment practices, exceptional customer service, and attention to detail.

Key Responsibilities

• Claim Handling: Investigate, analyze, and resolve moderately complex to complex CGL and Auto claims in accordance with procedures and best practices.
• Customer Service: Provide prompt and professional responses to claimants, policyholders, and key stakeholders.
• Investigation: Conduct thorough investigations, secure necessary documentation, and collaborate with external parties, including legal counsel, medical professionals, and engineers, to determine liability and resolve disputes.
• Negotiations: Negotiate settlements equitably within financial and legal guidelines to optimize outcomes.
• Compliance: Ensure all claim handling adheres to applicable laws, regulations, and company procedures.
• Documentation & Reporting: Maintain accurate claim documentation, prepare detailed reports, and inform management of developing trends and significant loss exposures.
• Team Collaboration: Work closely with underwriting, special investigation units, and legal teams to assess risk and develop effective solutions.
• Training & Mentorship: Offer guidance and mentorship to junior adjusters to foster skill development and professional growth.

Qualifications

• Education: Bachelor’s degree or equivalent professional experience.
• Experience: A minimum of 5-7 years of claims adjustment experience, with a focus on CGL and Auto claims.
• Licensure: Active claims adjuster license(s) in the state of Georgia.
• Technical Skills: Proficient in claims management systems, Microsoft Office Suite (Word, Excel, Outlook), and related software.
• Knowledge: In-depth understanding of insurance policies, risk management principles, and relevant regulations.
• Analytical Skills: Strong problem-solving, analytical, and critical-thinking capabilities to evaluate claims, subrogation opportunities, and fraud risks effectively.
• Communication: Exceptional verbal and written communication skills.
• Customer-Centric Mindset: Ability to build and maintain strong customer and internal partner relationships.
• Organization: Ability to prioritize and manage multiple projects in a fast-paced environment.

Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion.

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